06-0620 (AR)P.O. BOX 1504 k
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:'
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00000620
51075 CALLE"PALOMA
770-142-0.11-100 -OOOOOC
ADDITION - RESIDENTIAL
LOW DENSITY RESIDENTIAL
38707
Architect or
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
BARAJAS ALBERTO
51-075,CALLE'PALOMA
LA QUINTA, CA 92253
Other'struct info C
Contractor:
Owner
Date: /26/06
' LIOENSED'CONTRACTOR'S DECLARATION. WORKER'S COMPENSATION DECLARATION
Ihereby affirm under.penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following•'declaratiom -
Section 7000) of'Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a'certifidate of consent to self, insure for workers' -compensation, as provided
License Class: - - License No.: for by Section 3700 of the Labor'Code, for the performance of the work.for which this permit is
- issued.
Date: . Contractor: _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code,. for, the performance of -the work'for which this permit is issued. My workers' compensation t
OWNER -BUILDER DECLARATION insurance carrier and policy number are: '
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier - 1 . 00 Policy:Number - NO e
following reason.lSec. 7031 .5, Business and Professions Code: Any city or county that requires.a permit to I certify that, in the performance•of'the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for tfie person in any',manner so as to'become. subject to the workers' compensation laws ofCalifornia, r
permit to file'a signed statement that he�or she is licensed pursuant to the provisions of theZo.ntractor's State and agree;that,'if l should ome subject to the workers' compensation provisions of Section -a
Licensel'aw (Chapter 9lcpmmencjng with Section 7000) of Division Sof tfie Business_and Professions Code) or.. 3700, the Labor Code, I all fotthw�th cor9fy,wiih those proyisionsi
.that he
she is exempt therefrom and the basis.forihe alleged exemption Any violation of Section 7031 .5,by Iq e
any applicant for a permitsublects.the: applicant to a civil penalty of not more than five hundred dollars IS500L: e `�` I. icanti
✓) I, as owner of the=property, or my employees with wages as their sole compensation, will:do.the work; and, -VV
the stiucture'is not intended or offered for sale ISec. 7044, Business and Professions Code: The' . WARNING:' FAILURE TO SECURE WORKERS' COMPENSATION OVERAGE IS UNLAWFUL, AND SHALL
contractors` State License Law does not apply :to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES -AND CIVICFINES'UP'TO'ONE HUNDRED THOUSAND
and wtio does the work himself or herself through his or her own employees, provided that the.. DOLLARS (S,1100,000). IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold 'within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES..
one year of completion, the owner -builder will have the burden of proving thaf-he-or she did not build or
. improve for the purpose of sale.): - APPLICANT ACKNOWLEDGEMENT -
(_ 1 I, as owner of -the property; am exclusively contracting with licensed contractors to construct the project-ISec. AMPORTANT Application is- hereby, made -to -the Director. of. Building and Safety for, ;aipermitsubject-t_o-the,
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this -application. :
property who builds or improves thereon, and who -contracts for the projects with a contractor's) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for.
pursuant to the Contractors' State License Law.). whose benefit work is performed under or.pursuantto any permit issued as a result of this application,
1 _ 1 I am exempt under Sec. B.&P for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
�� performed under or following issuance of this permit. -
ate: G caner. 2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
CONSTRUCTION LENDING GENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to buildi g construction, and her y authorize representatives
of this county to enter upon the ve-mentioned property o inspection purposes
Lender's Name:
Si ure IApplicant or Agent): ,
Lender's Address:
LQPERMIT
LQPERAIIT
Application Number . . . . . 06-00000620
Permit
. . .
BUILDING PERMIT
Additional
desc . .
Permit Fee
. . . .
343.00
P1an,Check Fee
222.95
Issue Date
. . . .
Valuation . . . .
38707
Expiration
Date
10/23/06
Qty Unit Charge
Per
Extension
BASE
FEE
252.00
14.00
---------------
6.5000
-----------
THOU BLDG
-----------
25,001-50,000
---------------------------
91.00
------------
Permit
ELECT -.ADD/ALT/REM
Additional
desc . .
Permit Fee
37.51
Plan Check Fee
9.38
Issue Date
Valuation . .
0
Expiration
Date
10/23/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
634.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
22.19
16.00
----------------------=-----------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
.32
Permit
. . .
MECHANICAL
Additional
desc .
-Permit Fee
46.06
Plan Check Fee
•11.50
Issue Date
Valuation
0
Expiration
Date
10/23/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00
9.0000
EA MECH
FURNACE <=100K
9.00
1.00
9.0000
EA . MECH
B/C <=3HP/100K BTU
9.00
2.00
----------------------------------------------------------------------------
6.5000
EA MECH
VENT FAN
13.00
Permit. .
. . .
PLUMBING
Additional
desc .
Permit Fee
. . . .
69.00
Plan Check Fee
17.25
Issue Date
Valuation .. . . .
0
Expiration
Date
10/23/06
Qty ' Unit Charge
Per
Extension
BASE
FEE
15.00
8.00
6.0000
EA PLB
FIXTURE
48.00
1.00
3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00
3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
Application Number
. . . . .
06-00000620
----------------------------------------------------------------------------
Special Notes and
Comments
634 sq. ft. addition
and 160
sq. ft.
patio.
----------------------------------------------------------------------------
Other Fees . .
. . . . . .
ENERGY REVIEW
FEE
22.30
STRONG MOTION
.(SMI.) - RES
3.87
Fee summary
-----------------
Charged
----------
Paid
--------------------
Credited
----------
Due
Permit Fee Total
495.51
.00
.00
495.51,
Plan Check Total
261.08
.00
.'00
261.08
Other Fee Total
26.17
.00
.00
26.17
Grand Total
782.76
.00
.00
782.76
LQPERAIIT
m
gin
City of La Quinta
Building;u Safety Division
P.O. Box T504; 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 7.77-7012
Building Permit Application and Tracking.Sheet
Permit #
06 - 62.E
Project Address: �j — b� 5
��
y
Owner's Name: e (�� Q
A. P. Number: 7-7
Z� dl1
Address: 1j, t p
Legal Description:.-`
ST, Zip:
Contractor: n
_ f✓Wt'� v � �'i
-
Telephone:
-Address:
Project Description:
City, ST, Zip:
Q,S. S r ✓L
Telephone:
City. Lic. #: '
ra
State Lic. # :
Arch., Engr., Designer: ?� e� C •�
Address: '% 0 _ �h• `lt� "�S o !)
City, ST, Zip: �. Gl Vl- Ge- d�Z3
Telephon �e s i�-� pn . s,
State Lic. #: 2 3 S 7j
Name of Contact Person:. �: �� ;�
' Construction Type:VQ Occupancy:
L
Project type (circle one): New_: dd'n Alter . Repair. Demo
Sq Ft.: 3
# Stories: , .I
# Units:
Telephone # of Contact Person: ti X04"
.Estimated Value of Project.. �. 0, . 6_=
APPLICANT: DO NOT.WRITE:BELOW THIS LINE.. .
#
Submittal..
Req'd
Recd
TRACKING .
PERMTT FEES
Z
Plan Sets ' '
'Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready f corrections
Plan'Check Deposit
Truss Calcs.
Called Contact P L S„pG
3c3� x
Plan°Check Balance
Energy Calcs.
Plans picked up r•
` ,
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2 Review, ready for correctio /is ue
Electrical
Subcontactor List
Called Contact Person
r'(p
. Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
GradingY
IN HOUSE:-
Review, ready for corrections/issue
Developer impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue .
School Fees
y,Tofal;Permit
Fees
ipliw P/u
44S.
Date
4/26/06
No.
28412
Owner
Alberto Barajas
Address
51075 Calle Paloma
City
La Quinta Zip
Tract #
Type
Residential Addition
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
APN #
Jurisdiction
Permit #
Study Area
No. of Units
ao
Z4 o
BERMUDA DUNES r
Cr RANCHO MIRAGE
INDIAN WELLS
PALM DESERT y
LA QUINTA ,Zy
%INDIO yr�`
770-142-011
La Quinta
1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 51075 Calle Paloma 634 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garagestcarports, covered patios/Walkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.63 X 634 S.F. or $1,667.42 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By Cash - Susan Barajas' Check No.
Name on the check Telephone 564.3162
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected
Payment Recd
$1,667.42 "' Over/Uhiler
�.
Signature �e
NOTICE: Pursuant to Government Code Section 66020(d)(1), is will a to notify you that the 90 -day approval period In which;you,may protest the fees o
r other payment identified above will begin to run from the date on the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District(s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting
I
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